We’ve seen considerable interest in the Lean-flavored content we’ve been including in Clips. But nothing like this. To put that new record into context, the most popular item in any given day’s edition typically grabs between 150 and 200 clicks.

Toussaint’s article is an easy, 8-page read that provides a great overview of Lean’s application to health care, with good examples to illustrate.

Here are 3 things that really stood out for me…

1. The case studies in the article go beyond the usual suspects. In Saskatchewan, we’re talking a lot about Virginia Mason, Thedacare, Seattle Children’s, Park Nicollet. And for good reason. These systems have made major strides with Lean. But it’s good to read about other systems that are using Lean to value for patients, including Christie Clinic (Champaign, Illinois); St. Jude Medical Center (Fullerton, California); New York City Health and Hospitals Corporation; Martin Health System (Stuart, Florida); and, Inova (Virginia).

2. It’s hard not be envious of the great things these other systems are achieving: Surgeries begin at scheduled start time 99% of the time. OR turnaround time reduced from 60 minutes to less than 40 minutes. Zero cases of ventilator-acquired pneumonia for more than 3 years. Wait time to see a physician in the ER reduced from 55 minutes to 22 minutes. Who wouldn’t want to be able to brag about similar breakthroughs right here in Saskatchewan?

3. This statement: “…the people in charge may have to change the most for a Lean culture to develop.” Now THAT is a big shift in our historically hierarchical, top-down health care system. Says Touissaint: “Lean, in a sense, turns leadership upside down, with front-line workers doing much of the innovating and managers trusting them to do it and supporting them. Respect for the potential of front-line workers to have the brainpower and commitment to improve the work must pervade the organization. Respect flows downward, not just upward.” Talk about a sea change.

I could go on — there are lots of other gems in the piece.

What did YOU think of the article? What in it resonated with you?

What did you think of this post? Click below and let us know.

About Greg Basky

Director of Communications, Health Quality Council. Greg joined the Health Quality Council in January 2003. He has nearly 25 years of experience in print journalism, government public affairs, advertising, and research-related communications. Greg has worked as a newspaper reporter, communications officer with Saskatchewan Health, copywriter at an ad agency, freelance writer/editor, and communications director for HQC’s predecessor, the Health Services Utilization and Research Commission (HSURC).

About Better

Technology is the way of the future in medicine and I think this would help everybody – physicians as well as patients!

Dr. Rossouw, Physician, Regina Qu'Appelle

I was encouraged by the electronic concept of providing documentation in the Emergency Department. As a patient advisor, it was a positive experience to work with actual patients to receive patient input and opinions into this process.

Bev Greenfield, patient, Regina Qu'Appelle

This will save us a lot of time spent searching for equipment so that we can focus more on patient care.

Amanda Dela Cruz , LPN, Regina Qu'Appelle

Ordering supplies is logical and simplified…. (This project) will prevent an abundance of supplies that are not used, (resulting in) cost savings.

Shawn Duddridge , RN, Prairie North

I was excited to be part of a much needed project. It was great to see Emergency Department physician engagement. This will be a great improvement for patient care!

Shona Lafreniere Health Records Staff, Regina Qu'Appelle

Looking forward to saving steps and freeing up some time for Resident interaction. Good to be able to document interactions

Connie Redekop, CCA, Cypress

The passion targeted to quality care for our patients demonstrated during this RPIW will lead to great results.

Kevin Kozan, patient, Regina Qu'Appelle

The addition of a mobile stock/linen cart for the CCA’s with adequate stock greatly reduces lost time and steps. Go Team! By adding this time back to their day it can be used for prompt documentation and quality interactions with Residents.

Seccora Mazur, CCA, Cypress

With now having questions to ask, there can be more one on one interactions. With the introduction of the white boards in the room, I can see what is going on as a family member and also see what they need.

Cathy Nault, patient, Cypress

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